Work plan for psychiatric nurses 1 1. Strengthen the detail management of the department and cultivate good work habits.
Details determine quality, psychiatry is random, and work habits are poor. The head nurse is busy with daily affairs and neglects management. In 20xx, we will focus on the daily quality control work, starting from small things and running quality control work through our daily work. Quality control one or two projects every week to form a standard; Let department employees gradually form good quality control habits, reduce laziness and coping psychology, and really proceed from the convenience of work and management. In addition, we should give full play to the role of quality control staff and responsible nurses, give them some daily quality control work, raise everyone's awareness of participation, mobilize general practitioners to participate in management, effectively improve self-management awareness and improve the efficiency of department management.
Second, according to the needs of workload, flexible scheduling.
The ratio of doctors and nurses in our hospital is unreasonable; There are few nursing staff and heavy work; According to the patient's situation and the nursing workload of the department, the head nurse rationally and flexibly allocates human resources to provide satisfactory nursing services for patients with good quality and quantity.
Two, standardize business rounds, improve the effect of rounds.
Change the situation of ward rounds in previous years, and the responsible nurse is responsible for discussing the difficult nursing problems of this disease; Brainstorm ideas and put forward solutions to problems; Improve professional level and solve nursing problems. At the same time, the process of discussion is also a process of learning; Learn the knowledge of specialized diseases, standardize the nursing routine of specialized diseases and standardize all specialized diseases; And apply the nursing routine of this disease to daily work, and gradually improve the standardization of nursing work.
Third, strengthen business study and improve the overall professional level.
Strengthen the study of specialized professional knowledge and systematically study psychological science; General practitioners participate, and everyone takes turns to prepare lessons once a month.
Fourth, deepen family service and improve patient satisfaction.
On the basis of cultivating nurses' daily etiquette, we should further standardize nursing operation terms, serve with a warm smile and master nurse-patient communication skills; So as to improve patients' satisfaction and establish a good professional image of nurses.
Fifth, strengthen nursing safety management and improve service quality.
Strictly implement the check system, emphasize the second check in place, strengthen the responsibility of safety management, put an end to major mistakes and accidents, and improve our nursing quality on the basis of safety. Strengthen nurses' awareness of routine inspection of department hardware facilities, strengthen the inspection of performance and safety at ordinary times, find problems in time and maintain them in time to keep the equipment in good condition. At the same time, strengthen the control and monitoring of hospital infection and complete the control and management of various nursing quality; Key points: management of first-aid drugs. Because we are a specialized hospital, the utilization rate of first-aid drugs is small, which is different from that of general hospitals in management. According to the rescue system, the first-aid drugs are handed over in each shift, and the head nurse counts them every week and manages them by special personnel every month. What we practice is that emergency drugs have use records, supplementary backup records, emergency drug expiration records, handover drug use records, supplementary records and expiration records.
Six, establish legal awareness, standardize the writing of nursing documents.
With the improvement of people's legal awareness and the promulgation of the Regulations on Handling Medical Accidents, how to strengthen the legal system construction in nursing service and improve the legal awareness of nursing staff has become an important link in nursing management. The nursing department has written all kinds of nursing documents completely, objectively, truly and accurately in strict accordance with the requirements of the Specification for Writing Mental Health Nursing Documents issued by the Provincial Health Department. Everyone knows the significance of writing nursing documents. Please ask colleagues in higher hospitals for advice on the unclear writing of nursing documents (about the agreement on accompanying hospitalized patients). Then, combined with the actual situation of nursing document writing in our hospital, it summarizes and analyzes and puts forward corresponding countermeasures to meet the standard requirements. To provide legal basis for proof and protect the legitimate rights and interests of both nurses and patients.
Seven, nursing indicators to achieve the goal
1. The qualified rate of basic nursing is 100%.
2. The intact rate of first-aid articles reaches 100%.
3. The qualified rate of nursing document writing is ≥90%
4. The qualified rate of "basic knowledge and professional knowledge training and assessment" for nursing staff reached100%;
5. One person, one needle and one tube disinfection qualified rate100%;
6. The qualified rate of disinfection and sterilization of conventional instruments is 100%.
At the beginning of the year, I am willing to work hard to achieve higher goals. Nursing work is trivial and repetitive, and nursing quality control runs through every day of my daily work. I am willing to use every day's hard work for the smooth development of the department's work, use every day's hard work to improve the standardization and practicality of the department's management, and use every day's hard work for the high satisfaction of patients and strive for the happy work of every nursing staff in the department.
The system construction of psychiatric nurses' work plan 2 1 continues to strengthen the inspection of the implementation of the core system, focusing on the inspection of the nursing duty shift system, the check system, the safety management system, the critically ill patient rescue system, and the graded nursing system, especially strengthening the retraining and examination of nurses with low seniority and weak sense of responsibility. The assessment results are linked to performance pay, so that everyone can consciously abide by it and strengthen the discipline inspection of labor organizations, especially the middle class. The weak links such as shift work ensure the safety of nursing work, strengthen the inspection of the completion of post responsibilities, especially the inspection and assessment of the completion of professional team leaders, and implement a hierarchical management responsibility system to ensure the quality of work. Reasonable division of labor for some senior nurses, so that everyone can perform their duties, do their best, and have clear responsibilities to ensure the smooth development of nursing work.
Strengthen the process control of nursing quality to ensure the safety and effectiveness of nursing work.
(1) Continue to implement the responsibility system of the department nursing quality management team led by the head nurse, and guide, supervise, check and assess the nursing quality of the department regularly and irregularly. When problems are found, effective solutions should be taken in time and evaluated. It is necessary to give full play to the management role of the quality control team in the department, clarify their respective quality control points, enhance the awareness of all staff to participate in quality management, and improve the quality of nursing.
(2) The focus of this year's link quality inspection is still
① Basic nursing work: continue to implement the spirit of relevant documents of the Ministry of Health, completely change the service concept and management mode, and realize the "trinity" of basic nursing work.
② Psychiatric emergency nursing: especially strengthen the training and inspection guidance for newly recruited young nurses, effectively improve the emergency treatment of crisis and ensure the safety of patients.
(3) Safety management: strengthen the inspection of dangerous goods for new visitors, the safety inspection of morning and evening care, especially the management of fire smoke, and do a good job in publicity and education for patients and their families. Strengthen the routine inspection of facilities, strengthen the performance and safety inspection at ordinary times, find dozens of problems and repair them to ensure that the equipment is in good condition.
Third, strengthen the on-the-job education of nurses and improve the comprehensive quality of nursing staff.
(1) Implement the standardized training and on-the-job continuing education for nurses, and pay special attention to the "three basics" and specialist skills and assessment of nurses.
1 Focus on strengthening the assessment of newly hired nurses and junior nurses, strengthen their learning awareness, focus on strengthening basic nursing knowledge, and increase the number of assessments until reaching the standard.
2. Strengthen the training of specialist skills: strengthen the training and assessment of specialist theory and skills, organize examinations every year, and implement closed-book examinations for theoretical examinations, requiring practical results and not becoming a mere formality, so as to lay a good foundation for training specialist nurses.
3 Basic skills assessment: As a standardized training object, nurses are required to meet all basic skills standards within the year, and the assessment requires testing in actual work.
Renewing professional theoretical knowledge and improving the level of specialized nursing. Organize the study of professional knowledge, such as developing new technology projects and special and difficult diseases. Air conditioning updates knowledge and skills by inviting doctors to teach, searching literature, organizing nursing rounds, and discussing nursing consultations. At the same time, some nurses are sent out for further study in a planned way to improve their knowledge level.
Fourth, deepen family services and improve service quality.
(1) On the basis of cultivating nurses' daily etiquette, we should further standardize nursing operation terms and improve nurse-patient communication skills to cultivate nurses to establish a good professional image.
(2) Pay attention to the collection of nursing service demand information, and the head nurse should strengthen the conversation with patients and issue satisfaction questionnaires. , to obtain patients' needs and feedback information, put forward rectification measures in time, and at the same time motivate nurses to mobilize their work enthusiasm.
5. Continue to strengthen patients' health education and rehabilitation guidance, strengthen nurses' health education and rehabilitation knowledge training, take practical rehabilitation training measures according to the characteristics of patients admitted to our department, strengthen individualized psychotherapy, make patients recover psychologically at an early date, return to society, rebuild a better life, reduce social burden, and give full play to the public functions of work and health institutions.
Do a good job in teaching and research.
(1) Designate nurses with the title of nurse or above to be responsible for the implementation of students' teaching work, hold regular academic evaluation meetings, and listen to the opinions of teachers and interns.
(2) The head nurse is the head teacher, attaches importance to the teaching work, regularly checks the teaching attitude, sense of responsibility and teaching level of the teaching teacher, arranges small lectures, understands the completion of the internship plan, and completes the theoretical and operational examinations.
(3) Do a good job in pre-job training for students, check the teaching quality irregularly, and organize an excellent teaching teacher selection activity before the end of each internship.
Strengthen the management of hospital infection and infectious diseases; Regularly train nursing staff in the department about hospital infection and infectious diseases; Strengthen the management of all kinds of medical wastes in departments; Strictly implement the disinfection and sterilization system for all kinds of articles, surfaces and air in the ward; Pay attention to the hand disinfection of staff and patients, which must reach the standard in the monthly hospital infection monitoring.
Work plan for psychiatric nurses. Strengthen staff training:
In accordance with the requirements of service standards and guidance programs, do a good job in the training of village prevention and care personnel, formulate training work plans, organize and carry out the training of psychiatric prevention professionals, patients' families and other related personnel in a planned and step-by-step manner, improve the technical level and management ability of staff, enhance the care and skills of patients' families, and prevent unsafe behaviors.
Two, regularly investigate the mental patients under their jurisdiction and find new patients.
Village doctors trained in the management of patients with severe mental illness investigated the population in their jurisdiction and collected the information of patients with severe mental illness diagnosed in medical institutions (severe mental illness mainly includes schizophrenia, bipolar disorder, paranoid psychosis, schizoaffective disorder, mental disorder caused by epilepsy, severe mental retardation and so on). When the patient loses the insight or behavioral control of the disease, it may lead to behaviors that endanger public safety and the personal safety of others, and long-term illness may cause serious damage to social function), and do a good job in preliminary screening.
Collect the information of people who have not been clearly diagnosed with severe mental illness, but are at risk, and then advise them to go to professional institutions for treatment immediately and report to the superior professional mental illness prevention and control institutions.
Third, establish mental patients' health files, health education and rehabilitation guidance.
Establish health records for each newly discovered patient in time. The contents of file registration include the names and contact information of patients and guardians, family history of mental illness of patients, time of first onset, previous diagnosis and treatment, previous main symptoms, ability to live and work, current symptoms, medication compliance, insight, social function, rehabilitation measures, overall evaluation and follow-up treatment and rehabilitation opinions. Strengthen publicity, encourage and help patients to carry out life function rehabilitation training, and guide patients to participate in social activities and receive vocational training. Communicate with patients' families, distribute popular science propaganda materials on mental illness, explain the knowledge nursing of mental patients, and eliminate social discrimination and misunderstanding on mental illness.
Four, every quarter for the management of mental patients to do disease assessment.
In order to prevent patients from hurting people and destroying things, when patients with severe mental illness are included in the management, professional medical institutions at or above the county level will conduct a comprehensive evaluation, check patients' mental symptoms and physical diseases, establish health records of patients with severe mental illness, and conduct risk rating. Grade * * * is divided into five grades, which mainly manage patients above grade three, supervise them to take medicine in time and be hospitalized when necessary.
Five, regular follow-up of mental patients. For patients under management,
Follow up at least 6 times a year. The main purpose of each follow-up is to provide information on mental health knowledge, medication and home care skills, supervise patients' medication, prevent recurrence, find signs of recurrence or aggravation in time, give corresponding treatment or referral, and carry out crisis intervention. For patients with unstable condition, adjust according to the prescribed dosage range on the basis of current medication, and contact the original competent doctor or refer them to a higher hospital when necessary; For patients with worsening physical symptoms or adverse drug reactions, patients should be transferred to higher hospitals.
Six, the management of dangerous suspected mental patients.
When it is found that the actor who endangers the life safety of others or seriously affects social order is a suspected mental patient, he should immediately call "1 10" to report the case to the local public security organ, and the official staff of the public security organ will send it to Changchun Psychological Hospital or other professional mental health medical institutions in the province for a definite diagnosis. If it is determined that it is a mental patient, enter the mental patient management procedure.